Organization · Type 2 NPI

Residential Hospice of Southern Illinois, LLC

Community Based Hospice Care Agency · Glen Carbon, IL

NPI number 1720405301 Active

Practice location

4215 S State Route 159
Glen Carbon, IL 62034-3267

Call (800) 358-8227 Map

Fax (888) 229-8388

Mailing address

5440 Corporate Dr Ste 400
Troy, MI 48098-2645

Other practice locations

104 Airway Dr Ste 1, Marion, IL 62959-5841 · (800) 358-8227

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

3 other providers at this address

Other community based hospice care agency providers in Glen Carbon

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NPI record

NPI: 1720405301
Entity type: Organization (Type 2)
Issued: Mar 21, 2014
Last updated: Jan 14, 2026
Status: Active

Other names

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Celtic Hospice & Palliative Care Services of S. Il, LLC · former legal business name

Authorized official

Karen L Sloaf
Manager of Regulatory Affairs
(800) 358-8227

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720405301

Residential Hospice of Southern Illinois, LLC's National Provider Identifier is 1720405301, issued on Mar 21, 2014. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jan 14, 2026.